Deepening the reform of the medical and health system key tasks in 2021

Medical Network News on June 18　

 

The General Office of the State Council Issued on Deepening the Reform of the Medical and Health System

 

Notice of key tasks in 2021

 

State Council Fa [2021] No.
20

 

The people's governments of all provinces, autonomous regions, and municipalities directly under the Central Government, all ministries and commissions of the State Council, and all directly affiliated institutions:

 

The "Key Tasks for Deepening the Reform of the Medical and Health System in 2021" has been approved by the State Council and is hereby issued to you.
Please organize and implement it carefully in accordance with the actual situation
.

 

Office of the State Council

 

May 24, 2021

 

(This piece is publicly released)

 

Deepening the reform of the medical and health system key tasks in 2021

 

Since the implementation of the new round of medical and health system reforms, China’s basic medical and health system has been improved rapidly, and the people’s health status and the fairness and accessibility of basic medical and health services have continued to improve
.
2021 is the 100th anniversary of the founding of the Communist Party of China, and it is also the first year for the implementation of the "14th Five-Year Plan" and the start of a new journey of building a modern socialist country in an all-round way
.
To deepen the medical reform, we must adhere to the guidance of Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, fully implement the spirit of the 19th National Congress of the Communist Party of China and the 2nd, 3rd, 4th, and 5th Plenary Sessions of the 19th National Congress of the Communist Party of China, and earnestly implement the decisions and deployments of the Party Central Committee and the State Council.
Implement the healthy China strategy, promote the experience of Sanming’s medical reform, strengthen the linkage of the reform system, promote the balanced distribution of high-quality medical resources, coordinate the prevention and control of the epidemic and the construction of the public health system, and continue to focus on the transformation from disease treatment to people’s health.
Efforts to solve the problem of difficult and expensive medical treatment
.

 

　　1.
Further promote the medical reform experience of Sanming City, and accelerate the reform of medical, medical insurance, and pharmaceutical linkages

 

　　(1) Vigorously promote the medical reform experience of Sanming City
.
Build a national experience promotion base for deepening medical reform in Sanming City, and increase experience promotion efforts
.
In accordance with the path of "making space, adjusting structure, and ensuring connectivity", with the price reduction as a breakthrough point, comprehensive reforms such as medical service prices, salaries, and medical insurance payments will be promoted simultaneously
.
Improve the service system and institutional mechanisms to promote the balanced distribution of high-quality medical resources
.
Strengthen the guidance to promote the medical reform experience of Sanming City
.
(The Secretariat of the Medical Reform Leading Group of the State Council and relevant departments are responsible according to the division of responsibilities)

 

　　(2) Promote centralized procurement of pharmaceuticals and consumables
.
Normalize and institutionalize the centralized procurement of drugs organized by the state, and gradually expand the scope of centralized procurement of drugs and high-value medical consumables
.
Implement the national organization policy of centralizing the procurement of medical insurance funds for pharmaceuticals and consumables, guide medical institutions to make good use of the increased disposable income, and actively promote the reform of the salary system
.
Intensify efforts to promote the use of drugs under the national medical insurance negotiations, and further improve relevant policies and measures by the end of August 2021
.
Establish and implement a credit evaluation system for medical prices and recruitment and procurement
.
Promote uniform classification and coding standards for medical insurance drugs and medical consumables
.
Promote the application of the unique identification of medical devices in the fields of supervision, medical treatment, and medical insurance
.
(The National Medical Insurance Bureau, the National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the State Drug Administration, etc.
are responsible according to the division of responsibilities)

 

　　(3) Deepen the reform of medical service prices
.
Guide local governments to establish and improve a sensitive price dynamic adjustment mechanism, conduct regular price adjustment assessments, increase the price of medical services that reflect the value of technical labor services, and increase guidance and supervision in areas where progress is lagging behind
.
Speed ​​up the review of new medical service price items
.
Guide local governments to reform and optimize the government’s behavioral rules for setting medical service prices and related cost supervision and review hearings catalogs in accordance with laws and regulations, and allow pricing departments to conduct cost investigations and listen to opinions in a concise and easy way
.
Promote a pilot program to deepen the reform of medical service prices, and issue policy documents before the end of September 2021
.
(National Medical Insurance Bureau, National Development and Reform Commission, National Health Commission, National Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(4) Deepen the reform of the personnel remuneration system
.
Implement the "two permits" requirements, reasonably determine and dynamically adjust the salary levels of public hospitals
.
Strengthen the supervision and guidance of local governments, and promote the implementation of the government's medical responsibility and public hospital investment policies
.
Broaden the funding channels for the reform of the salary system in public hospitals
.
Allow hospitals to independently set up salary programs and encourage the implementation of an annual salary system for the main persons in charge
.
Reform and improve the professional title evaluation mechanism of medical staff, highlight the performance orientation of practical ability, and encourage health professionals to take root in the front line of disease prevention and treatment
.
(The Ministry of Education, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Health Commission, the State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(5) Promote the reform of medical insurance payment methods
.
Promote the pilot projects of paying by groups related to disease diagnosis and paying by disease points, promote fine management, summarize experience in a timely manner and promote it to the whole country
.
Improve the medical insurance policy of grassroots institutions, and guide patients during the recovery and recovery period to the grassroots for medical treatment
.
(National Medical Insurance Bureau, Ministry of Finance, National Health Commission, State Administration of Traditional Chinese Medicine, etc.
shall be responsible according to the division of responsibilities)

 

　　(6) Promote the high-quality development of public hospitals
.
Persist and strengthen the party's overall leadership over public hospitals, and fully implement the dean responsibility system under the leadership of the party committee
.
In-depth implementation of public hospital performance appraisal, improve public welfare-oriented appraisal indicators and methods, and the appraisal results will be announced to the public in a timely and appropriate manner, and linked to the total amount of public hospitals' new salary
.
Carry out pilot projects for high-quality development of public hospitals
.
Promote comprehensive reform demonstrations of public hospitals and establish and improve pilot projects of modern hospital management systems
.
(The National Health Commission, the State-owned Assets Supervision and Administration Commission of the State Council, the Central Authorization Office, the National Development and Reform Commission, the Ministry of Education, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Medical Insurance Administration, the State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　2.
Promote the balanced distribution of high-quality medical resources and improve the hierarchical diagnosis and treatment system

 

　　(7) Promote the expansion and balanced distribution of high-quality medical resources
.
Start the pilot construction projects of the National Medical Center and the second batch of regional medical centers, make overall plans to promote the construction of regional medical centers during the "14th Five-Year Plan" period, improve cooperation methods and guidance mechanisms, and promote the homogeneous development of pilot hospitals and export hospitals
.
In response to the diagnosis and treatment needs of provinces, cities, and counties, we plan to promote the construction of clinical specialty capacity during the "14th Five-Year Plan" period, and accelerate the completion of service shortcomings
.
Strengthen the construction of public medical and health institutions
.
Actively support the development of social medical services
.
Optimize support for the development of medical institutions run by state-owned enterprises , and formulate relevant policy documents before the end of October 2021
.
(National Development and Reform Commission, National Health Commission, State-owned Assets Supervision and Administration Commission of the State Council, State Administration of Traditional Chinese Medicine, etc.
shall be responsible according to the division of responsibilities)

 

　　(8) Promote the construction of medical consortia
.
Promote pilot projects of county medical communities and urban medical groups, and strengthen grid construction layout and standardized management
.
Improve county-level medical community guidance policies and improve county-level disease prevention and control
.
Promote the implementation of total payment for compact medical consortiums, strengthen supervision and assessment, reserve balances, and rationally share over expenditures, and guide medical consortia to pay more attention to disease prevention, improve grass-roots service capabilities, and promote grassroots first diagnosis and two-way referral
.
Social medical institutions can take the lead in establishing or participating in county medical communities and urban medical groups
.
Promote the development of specialist alliances and telemedicine collaboration networks
.
(National Health Commission, National Medical Insurance Administration, National Development and Reform Commission, State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(9) Accelerate the construction of a hierarchical diagnosis and treatment system
.
Strengthen overall planning during the "14th Five-Year Plan" period, increase support and guidance, and promote various types of medical institutions at all levels, including provinces, cities, counties, townships, and villages, to implement functional positioning and play their roles in a balanced manner
.
Formulate policy documents for accelerating the construction of a hierarchical diagnosis and treatment system
.
Carry out pilot projects of a high-quality and efficient integrated medical and health service system
.
Continue to promote the service and management capacity building of county-level hospitals (including Chinese medicine hospitals)
.
Improve basic infrastructure conditions and develop community hospitals
.
Promote the adoption of a flexible contract service cycle for family doctors
.
Implement the treatment of rural doctors
.
Implement the "14th Five-Year Plan" action plan of the grassroots Chinese medicine service capacity improvement project
.
(National Health Commission, National Development and Reform Commission, Ministry of Education, Ministry of Human Resources and Social Security, National Medical Insurance Administration, National Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(10) Improve the universal medical insurance system
.
Accelerate the improvement of the medical insurance and assistance system for major and serious diseases
.
Establish and improve the mutual aid guarantee mechanism for staff medical insurance outpatient clinics
.
Encourage qualified provinces to promote the provincial-level overall planning of basic medical insurance in accordance with the ideas of hierarchical management, shared responsibilities, overall adjustments, and budget assessment
.
Improve the management and service of settlement of medical treatment in different places, basically realize the direct settlement of ordinary outpatient expenses across provinces and all areas, and explore the direct settlement of outpatient chronic diseases such as hypertension and diabetes
.
Instruct local governments to do a good job in the transfer and continuation of medical insurance relations across coordinated regions
.
Improve the agreement management of designated medical institutions and designated retail pharmacies for medical insurance, and actively promote convenient services such as "Handheld Office" and "Online Office"
.
(National Medical Insurance Bureau, Ministry of Finance, National Health Commission, State Administration of Traditional Chinese Medicine, etc.
shall be responsible according to the division of responsibilities)

 

　　(11) Promote the revitalization and development of Chinese medicine
.
Implement major projects for the revitalization and development of traditional Chinese medicine
.
Support the creation of a number of national traditional Chinese medicine inheritance and innovation centers, traditional Chinese and Western medicine collaboration "flagship" hospitals, key hospitals with traditional Chinese medicine characteristics, and national Chinese medicine epidemic prevention and control bases, and implement the famous doctor hall project to improve the infectious disease prevention and control capabilities of county-level Chinese medicine hospitals
.
Promote Chinese medicine hospitals to take the lead in forming medical consortia
.
Improve the medical insurance payment policy that meets the characteristics of traditional Chinese medicine, and publish the dominant diseases of traditional Chinese medicine
.
Promote the construction of a national comprehensive reform demonstration zone for traditional Chinese medicine
.
Before the end of September 2021, develop and implement opinions on promoting the upgrading of the TCM treatment of disease-free health projects
.
(State Administration of Traditional Chinese Medicine, National Development and Reform Commission, National Health Commission, National Medical Insurance Bureau, etc.
are responsible according to the division of responsibilities)

 

　　3.
Adhere to prevention first and strengthen the construction of the public health system

 

　　(12) Strengthen the prevention and control of the new crown pneumonia epidemic
.
Adhere to the organic combination of normalized prevention and control and local emergency response, and do a good job of external defense input and internal defense rebound without any relaxation
.
Accelerate the promotion of new crown virus vaccination, improve vaccination capacity, ensure the quality and efficiency of vaccine batch issuance, and enhance the effective supply capacity of enterprises
.
Promote the improvement of major public health risk assessment, research and judgment, and decision-making mechanisms, and strengthen the grassroots public health system
.
Improve the public health emergency response and material guarantee system
.
(National Health Commission, National Bureau of Disease Control and Prevention (hereinafter referred to as the National Bureau of Disease Control), Ministry of Foreign Affairs, National Development and Reform Commission, Ministry of Industry and Information Technology, Ministry of Finance, General Administration of Customs, National Medical Insurance Administration, National Immigration Administration, China The Civil Aviation Administration, the State Drug Administration, etc.
shall be responsible according to the division of responsibilities)

 

　　(13) Deepen the reform of the disease prevention and control system
.
Improve early monitoring and early warning, risk assessment and judgment, on-site epidemiological investigation, inspection and testing, and emergency response capabilities
.
Establish a stable investment mechanism for public health undertakings, and innovate scientific research and socialized service mechanisms
.
Strengthen the construction of talent teams and laboratories of national-level public health institutions, and improve major public health emergency response and prevention and control capabilities
.
Establish and improve the treatment system for major epidemics
.
Improve the system of public health physicians, improve the evaluation of talents, and mainly evaluate the performance of job duties
.
(National Health Commission, National Disease Control and Prevention Bureau, National Development and Reform Commission, Ministry of Education, Ministry of Science and Technology, Ministry of Finance, Ministry of Human Resources and Social Security, General Administration of Customs, State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(14) Continue to promote the Healthy China Initiative
.
Establish an all-media health science knowledge release and dissemination mechanism
.
Strengthen market supervision, and resolutely crack down on illegal sales of health care products and fraudulent activities in accordance with the law
.
Promote the equalization of basic public health services
.
Strengthen mental health and mental health services
.
Expand the coverage of high-incidence cancer screening, and launch a pilot project for the construction of county-level cancer screening and early diagnosis and treatment centers
.
Promote the prevention and control of myopia in children and adolescents and the prevention and control of overweight and obesity
.
Strengthen the prevention and treatment of major diseases such as AIDS, endemic diseases and occupational diseases
.
Promote the construction of a health service system for the elderly and increase the supply of integrated medical care services
.
Intensify the patriotic health campaign
.
Promote the construction of the public health committee of the village (resident) committee
.
(National Health Commission, National Bureau of Disease Control, Central Propaganda Department, Central Cyberspace Administration, Ministry of Education, Ministry of Civil Affairs, General Administration of Market Supervision, General Administration of Sports, State Administration of Traditional Chinese Medicine, etc.
shall be responsible according to the division of responsibilities)

 

　　(15) Innovate medical and prevention coordination mechanisms
.
Strengthen the functions of technical guidance, personnel training, supervision and evaluation of the Center for Disease Control and Prevention, and urge medical institutions at all levels to implement disease prevention and control responsibilities
.
Promote the pilot projects for the “three highs” co-management of hypertension, hyperglycemia, and hyperlipidemia, and promote the integration of disease control institutions and medical institutions in the comprehensive prevention and treatment of chronic diseases
.
Strengthen the public health service functions of county-level hospitals
.
Improve the internal management of maternal and child health care institutions and provide medical and health care services that combine prevention and treatment
.
Relying on existing medical and health institutions, improve the ability of occupational disease prevention and control, diagnosis and treatment, and rehabilitation at the provincial and municipal levels
.
Strengthen post-graduation education and continuing education, and vigorously train medical and prevention talents
.
(National Health Commission, National Disease Control and Prevention Bureau, National Development and Reform Commission, Ministry of Education, Ministry of Finance, State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　4.
Coordinate and promote relevant key reforms to form a joint effort

 

　　(16) Promote the construction of national health information
.
Formulate national medical and health institutions' medical and health information exchange and sharing implementation plan, break down information barriers, and promote mutual recognition of data sharing
.
Strengthen the construction of smart hospitals and promote the application of new technologies such as artificial intelligence and fifth-generation mobile communications (5G)
.
Standardize Internet diagnosis and treatment services, strictly implement supervision, and improve the monitoring mechanism for drug online sales
.
Instruct medical institutions to reasonably retain traditional service methods, and strive to solve the problem of the elderly and other groups that are difficult to use intelligent technology
.
(The Ministry of Industry and Information Technology, the National Health Commission, the National Medical Insurance Administration, the State Administration of Traditional Chinese Medicine, the State Administration of Disease Control, and the State Food and Drug Administration are responsible according to the division of responsibilities)

 

　　(17) Improve the service experience of the masses
.
Deeply promote the "Internet + Medical and Health" and "Five Ones" service actions
.
Promote service models such as multidisciplinary diagnosis and treatment and day surgery, and optimize appointments for diagnosis and treatment
.
Promote medical institutions to optimize online and offline payment processes and improve settlement models
.
Promote the pilot reform of first diagnosis and treatment, settlement afterwards or one-stop payment
.
Clarify the specific methods for mutual recognition of inspection results of medical institutions
.
Strengthen the construction of treatment centers for major acute diseases such as chest pain, stroke, critically ill pregnant women, newborns and children, trauma
.
(The National Health Commission, the National Development and Reform Commission, the State Administration of Traditional Chinese Medicine, the Health Bureau of the Central Military Commission’s Logistics Support Department, etc.
shall be responsible according to the division of responsibilities)

 

　　(18) Strengthen the training and use of medical talents
.
Strengthen the training of talents in short supply such as general practitioners
.
Implement the policy of exempting medical college graduates from applying for rural doctor registration
.
The general college graduates recruited to the society who have passed the standardized training of resident doctors who are employed in medical and health institutions that year are treated as fresh graduates in terms of recruitment, dispatch, settlement, etc.
; the undergraduates who have passed the standardized training of resident doctors will be treated as fresh graduates.
Physicians are treated the same as postgraduates with professional degrees in clinical medicine, stomatology, and traditional Chinese medicine in terms of recruitment, title promotion, job hiring, salary and other aspects
.
Strengthen the employment placement and contract performance management of rural order-targeted medical students, and incorporate the default situation of targeted students into credit information management
.
Strengthen the construction of school doctors
.
(Ministry of Education, Ministry of Human Resources and Social Security, National Health Commission, State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(19) Enhance the ability to guarantee the supply of medicines
.
Continue to advance the priority review and approval of drugs, and accelerate the launch of innovative drugs and drugs that are urgently needed for clinical use
.
Improve the mechanism of supply and price stabilization of shortage drugs
.
Strengthen the supply of medicines for children
.
Study and revise the national essential drug list management method, optimize the catalog selection and adjustment procedures, and start the catalog adjustment work in a timely manner
.
Strengthen the provision and use of essential medicines and the standardized management of medications, and promote the connection of medications within the medical complex
.
Formulate pharmaceutical management measures for medical institutions
.
(The Ministry of Industry and Information Technology, the National Health Commission, the State Food and Drug Administration, etc.
are responsible according to the division of responsibilities)

 

　　(20) Strict supervision and management
.
Improve the comprehensive supervision and inspection mechanism of the medical and health industry
.
Vigorously promote the "Internet + supervision" of the medical and health industry, accelerate the improvement of precise supervision mechanisms such as "double random, one open" supervision and spot checks, unannounced inspections, and strengthen the disclosure of supervision results and accountability
.
Deepen the reform of the medical insurance fund supervision system, and promote the construction of medical insurance intelligent monitoring demonstration sites
.
Formulate antitrust guidelines in the field of APIs
.
(National Health Commission, National Disease Control Administration, General Administration of Market Supervision, National Medical Insurance Administration, National Administration of Traditional Chinese Medicine, etc.
shall be responsible according to the division of responsibilities)

 

　　All localities and relevant departments must earnestly strengthen their organization and leadership, be brave to act, dare to touch interests, vigorously promote Sanming's medical reform experience, and continue to deepen the medical reform
.
The Secretariat of the State Council’s Medical Reform Leading Group must strengthen overall planning and follow-up monitoring, establish task accounts and report quarterly
.
It is necessary to strengthen publicity and guidance, promptly respond to social concerns, and build consensus on reforms
.

Medical Network News on June 18　

 

　　The General Office of the State Council Issued on Deepening the Reform of the Medical and Health System

 

　　Notice of key tasks in 2021

 

　　State Council Fa [2021] No.
20

 

　　The people's governments of all provinces, autonomous regions, and municipalities directly under the Central Government, all ministries and commissions of the State Council, and all directly affiliated institutions:

 

　　The "Key Tasks for Deepening the Reform of the Medical and Health System in 2021" has been approved by the State Council and is hereby issued to you.
Please organize and implement it carefully in accordance with the actual situation
.

 

　　Office of the State Council

 

　　May 24, 2021

 

　　(This piece is publicly released)

 

　　Deepening the reform of the medical and health system key tasks in 2021

 

　　Since the implementation of the new round of medical and health system reforms, China’s basic medical and health system has been improved rapidly, and the people’s health status and the fairness and accessibility of basic medical and health services have continued to improve
.
2021 is the 100th anniversary of the founding of the Communist Party of China, and it is also the first year for the implementation of the "14th Five-Year Plan" and the start of a new journey of building a modern socialist country in an all-round way
.
To deepen the medical reform, we must adhere to the guidance of Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, fully implement the spirit of the 19th National Congress of the Communist Party of China and the 2nd, 3rd, 4th, and 5th Plenary Sessions of the 19th National Congress of the Communist Party of China, and earnestly implement the decisions and deployments of the Party Central Committee and the State Council.
Implement the healthy China strategy, promote the experience of Sanming’s medical reform, strengthen the linkage of the reform system, promote the balanced distribution of high-quality medical resources, coordinate the prevention and control of the epidemic and the construction of the public health system, and continue to focus on the transformation from disease treatment to people’s health.
Efforts to solve the problem of difficult and expensive medical treatment
.

 

　　1.
Further promote the medical reform experience of Sanming City, and accelerate the reform of medical, medical insurance, and pharmaceutical linkages

 

　　(1) Vigorously promote the medical reform experience of Sanming City
.
Build a national experience promotion base for deepening medical reform in Sanming City, and increase experience promotion efforts
.
In accordance with the path of "making space, adjusting structure, and ensuring connectivity", with the price reduction as a breakthrough point, comprehensive reforms such as medical service prices, salaries, and medical insurance payments will be promoted simultaneously
.
Improve the service system and institutional mechanisms to promote the balanced distribution of high-quality medical resources
.
Strengthen the guidance to promote the medical reform experience of Sanming City
.
(The Secretariat of the Medical Reform Leading Group of the State Council and relevant departments are responsible according to the division of responsibilities)

 

　　(2) Promote centralized procurement of pharmaceuticals and consumables
.
Normalize and institutionalize the centralized procurement of drugs organized by the state, and gradually expand the scope of centralized procurement of drugs and high-value medical consumables
.
Implement the national organization policy of centralizing the procurement of medical insurance funds for pharmaceuticals and consumables, guide medical institutions to make good use of the increased disposable income, and actively promote the reform of the salary system
.
Intensify efforts to promote the use of drugs under the national medical insurance negotiations, and further improve relevant policies and measures by the end of August 2021
.
Establish and implement a credit evaluation system for medical prices and recruitment and procurement
.
Promote uniform classification and coding standards for medical insurance drugs and medical consumables
.
Promote the application of the unique identification of medical devices in the fields of supervision, medical treatment, and medical insurance
.
(The National Medical Insurance Bureau, the National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the State Drug Administration, etc.
are responsible according to the division of responsibilities)

 

　　(3) Deepen the reform of medical service prices
.
Guide local governments to establish and improve a sensitive price dynamic adjustment mechanism, conduct regular price adjustment assessments, increase the price of medical services that reflect the value of technical labor services, and increase guidance and supervision in areas where progress is lagging behind
.
Speed ​​up the review of new medical service price items
.
Guide local governments to reform and optimize the government’s behavioral rules for setting medical service prices and related cost supervision and review hearings catalogs in accordance with laws and regulations, and allow pricing departments to conduct cost investigations and listen to opinions in a concise and easy way
.
Promote a pilot program to deepen the reform of medical service prices, and issue policy documents before the end of September 2021
.
(National Medical Insurance Bureau, National Development and Reform Commission, National Health Commission, National Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(4) Deepen the reform of the personnel remuneration system
.
Implement the "two permits" requirements, reasonably determine and dynamically adjust the salary levels of public hospitals
.
Strengthen the supervision and guidance of local governments, and promote the implementation of the government's medical responsibility and public hospital investment policies
.
Broaden the funding channels for the reform of the salary system in public hospitals
.
Allow hospitals to independently set up salary programs and encourage the implementation of an annual salary system for the main persons in charge
.
Reform and improve the professional title evaluation mechanism of medical staff, highlight the performance orientation of practical ability, and encourage health professionals to take root in the front line of disease prevention and treatment
.
(The Ministry of Education, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Health Commission, the State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(5) Promote the reform of medical insurance payment methods
.
Promote the pilot projects of paying by groups related to disease diagnosis and paying by disease points, promote fine management, summarize experience in a timely manner and promote it to the whole country
.
Improve the medical insurance policy of grassroots institutions, and guide patients during the recovery and recovery period to the grassroots for medical treatment
.
(National Medical Insurance Bureau, Ministry of Finance, National Health Commission, State Administration of Traditional Chinese Medicine, etc.
shall be responsible according to the division of responsibilities)

 

　　(6) Promote the high-quality development of public hospitals
.
Persist and strengthen the party's overall leadership over public hospitals, and fully implement the dean responsibility system under the leadership of the party committee
.
In-depth implementation of public hospital performance appraisal, improve public welfare-oriented appraisal indicators and methods, and the appraisal results will be announced to the public in a timely and appropriate manner, and linked to the total amount of public hospitals' new salary
.
Carry out pilot projects for high-quality development of public hospitals
.
Promote comprehensive reform demonstrations of public hospitals and establish and improve pilot projects of modern hospital management systems
.
(The National Health Commission, the State-owned Assets Supervision and Administration Commission of the State Council, the Central Authorization Office, the National Development and Reform Commission, the Ministry of Education, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Medical Insurance Administration, the State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　2.
Promote the balanced distribution of high-quality medical resources and improve the hierarchical diagnosis and treatment system

 

　　(7) Promote the expansion and balanced distribution of high-quality medical resources
.
Start the pilot construction projects of the National Medical Center and the second batch of regional medical centers, make overall plans to promote the construction of regional medical centers during the "14th Five-Year Plan" period, improve cooperation methods and guidance mechanisms, and promote the homogeneous development of pilot hospitals and export hospitals
.
In response to the diagnosis and treatment needs of provinces, cities, and counties, we plan to promote the construction of clinical specialty capacity during the "14th Five-Year Plan" period, and accelerate the completion of service shortcomings
.
Strengthen the construction of public medical and health institutions
.
Actively support the development of social medical services
.
Optimize support for the development of medical institutions run by state-owned enterprises , and formulate relevant policy documents before the end of October 2021
.
(National Development and Reform Commission, National Health Commission, State-owned Assets Supervision and Administration Commission of the State Council, State Administration of Traditional Chinese Medicine, etc.
shall be responsible according to the division of responsibilities)

 

　　(8) Promote the construction of medical consortia
.
Promote pilot projects of county medical communities and urban medical groups, and strengthen grid construction layout and standardized management
.
Improve county-level medical community guidance policies and improve county-level disease prevention and control
.
Promote the implementation of total payment for compact medical consortiums, strengthen supervision and assessment, reserve balances, and rationally share over expenditures, and guide medical consortia to pay more attention to disease prevention, improve grass-roots service capabilities, and promote grassroots first diagnosis and two-way referral
.
Social medical institutions can take the lead in establishing or participating in county medical communities and urban medical groups
.
Promote the development of specialist alliances and telemedicine collaboration networks
.
(National Health Commission, National Medical Insurance Administration, National Development and Reform Commission, State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(9) Accelerate the construction of a hierarchical diagnosis and treatment system
.
Strengthen overall planning during the "14th Five-Year Plan" period, increase support and guidance, and promote various types of medical institutions at all levels, including provinces, cities, counties, townships, and villages, to implement functional positioning and play their roles in a balanced manner
.
Formulate policy documents for accelerating the construction of a hierarchical diagnosis and treatment system
.
Carry out pilot projects of a high-quality and efficient integrated medical and health service system
.
Continue to promote the service and management capacity building of county-level hospitals (including Chinese medicine hospitals)
.
Improve basic infrastructure conditions and develop community hospitals
.
Promote the adoption of a flexible contract service cycle for family doctors
.
Implement the treatment of rural doctors
.
Implement the "14th Five-Year Plan" action plan of the grassroots Chinese medicine service capacity improvement project
.
(National Health Commission, National Development and Reform Commission, Ministry of Education, Ministry of Human Resources and Social Security, National Medical Insurance Administration, National Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(10) Improve the universal medical insurance system
.
Accelerate the improvement of the medical insurance and assistance system for major and serious diseases
.
Establish and improve the mutual aid guarantee mechanism for staff medical insurance outpatient clinics
.
Encourage qualified provinces to promote the provincial-level overall planning of basic medical insurance in accordance with the ideas of hierarchical management, shared responsibilities, overall adjustments, and budget assessment
.
Improve the management and service of settlement of medical treatment in different places, basically realize the direct settlement of ordinary outpatient expenses across provinces and all areas, and explore the direct settlement of outpatient chronic diseases such as hypertension and diabetes
.
Instruct local governments to do a good job in the transfer and continuation of medical insurance relations across coordinated regions
.
Improve the agreement management of designated medical institutions and designated retail pharmacies for medical insurance, and actively promote convenient services such as "Handheld Office" and "Online Office"
.
(National Medical Insurance Bureau, Ministry of Finance, National Health Commission, State Administration of Traditional Chinese Medicine, etc.
shall be responsible according to the division of responsibilities)

 

　　(11) Promote the revitalization and development of Chinese medicine
.
Implement major projects for the revitalization and development of traditional Chinese medicine
.
Support the creation of a number of national traditional Chinese medicine inheritance and innovation centers, traditional Chinese and Western medicine collaboration "flagship" hospitals, key hospitals with traditional Chinese medicine characteristics, and national Chinese medicine epidemic prevention and control bases, and implement the famous doctor hall project to improve the infectious disease prevention and control capabilities of county-level Chinese medicine hospitals
.
Promote Chinese medicine hospitals to take the lead in forming medical consortia
.
Improve the medical insurance payment policy that meets the characteristics of traditional Chinese medicine, and publish the dominant diseases of traditional Chinese medicine
.
Promote the construction of a national comprehensive reform demonstration zone for traditional Chinese medicine
.
Before the end of September 2021, develop and implement opinions on promoting the upgrading of the TCM treatment of disease-free health projects
.
(State Administration of Traditional Chinese Medicine, National Development and Reform Commission, National Health Commission, National Medical Insurance Bureau, etc.
are responsible according to the division of responsibilities)

 

　　3.
Adhere to prevention first and strengthen the construction of the public health system

 

　　(12) Strengthen the prevention and control of the new crown pneumonia epidemic
.
Adhere to the organic combination of normalized prevention and control and local emergency response, and do a good job of external defense input and internal defense rebound without any relaxation
.
Accelerate the promotion of new crown virus vaccination, improve vaccination capacity, ensure the quality and efficiency of vaccine batch issuance, and enhance the effective supply capacity of enterprises
.
Promote the improvement of major public health risk assessment, research and judgment, and decision-making mechanisms, and strengthen the grassroots public health system
.
Improve the public health emergency response and material guarantee system
.
(National Health Commission, National Bureau of Disease Control and Prevention (hereinafter referred to as the National Bureau of Disease Control), Ministry of Foreign Affairs, National Development and Reform Commission, Ministry of Industry and Information Technology, Ministry of Finance, General Administration of Customs, National Medical Insurance Administration, National Immigration Administration, China The Civil Aviation Administration, the State Drug Administration, etc.
shall be responsible according to the division of responsibilities)

 

　　(13) Deepen the reform of the disease prevention and control system
.
Improve early monitoring and early warning, risk assessment and judgment, on-site epidemiological investigation, inspection and testing, and emergency response capabilities
.
Establish a stable investment mechanism for public health undertakings, and innovate scientific research and socialized service mechanisms
.
Strengthen the construction of talent teams and laboratories of national-level public health institutions, and improve major public health emergency response and prevention and control capabilities
.
Establish and improve the treatment system for major epidemics
.
Improve the system of public health physicians, improve the evaluation of talents, and mainly evaluate the performance of job duties
.
(National Health Commission, National Disease Control and Prevention Bureau, National Development and Reform Commission, Ministry of Education, Ministry of Science and Technology, Ministry of Finance, Ministry of Human Resources and Social Security, General Administration of Customs, State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(14) Continue to promote the Healthy China Initiative
.
Establish an all-media health science knowledge release and dissemination mechanism
.
Strengthen market supervision, and resolutely crack down on illegal sales of health care products and fraudulent activities in accordance with the law
.
Promote the equalization of basic public health services
.
Strengthen mental health and mental health services
.
Expand the coverage of high-incidence cancer screening, and launch a pilot project for the construction of county-level cancer screening and early diagnosis and treatment centers
.
Promote the prevention and control of myopia in children and adolescents and the prevention and control of overweight and obesity
.
Strengthen the prevention and treatment of major diseases such as AIDS, endemic diseases and occupational diseases
.
Promote the construction of a health service system for the elderly and increase the supply of integrated medical care services
.
Intensify the patriotic health campaign
.
Promote the construction of the public health committee of the village (resident) committee
.
(National Health Commission, National Bureau of Disease Control, Central Propaganda Department, Central Cyberspace Administration, Ministry of Education, Ministry of Civil Affairs, General Administration of Market Supervision, General Administration of Sports, State Administration of Traditional Chinese Medicine, etc.
shall be responsible according to the division of responsibilities)

 

　　(15) Innovate medical and prevention coordination mechanisms
.
Strengthen the functions of technical guidance, personnel training, supervision and evaluation of the Center for Disease Control and Prevention, and urge medical institutions at all levels to implement disease prevention and control responsibilities
.
Promote the pilot projects for the “three highs” co-management of hypertension, hyperglycemia, and hyperlipidemia, and promote the integration of disease control institutions and medical institutions in the comprehensive prevention and treatment of chronic diseases
.
Strengthen the public health service functions of county-level hospitals
.
Improve the internal management of maternal and child health care institutions and provide medical and health care services that combine prevention and treatment
.
Relying on existing medical and health institutions, improve the ability of occupational disease prevention and control, diagnosis and treatment, and rehabilitation at the provincial and municipal levels
.
Strengthen post-graduation education and continuing education, and vigorously train medical and prevention talents
.
(National Health Commission, National Disease Control and Prevention Bureau, National Development and Reform Commission, Ministry of Education, Ministry of Finance, State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　4.
Coordinate and promote relevant key reforms to form a joint effort

 

　　(16) Promote the construction of national health information
.
Formulate national medical and health institutions' medical and health information exchange and sharing implementation plan, break down information barriers, and promote mutual recognition of data sharing
.
Strengthen the construction of smart hospitals and promote the application of new technologies such as artificial intelligence and fifth-generation mobile communications (5G)
.
Standardize Internet diagnosis and treatment services, strictly implement supervision, and improve the monitoring mechanism for drug online sales
.
Instruct medical institutions to reasonably retain traditional service methods, and strive to solve the problem of the elderly and other groups that are difficult to use intelligent technology
.
(The Ministry of Industry and Information Technology, the National Health Commission, the National Medical Insurance Administration, the State Administration of Traditional Chinese Medicine, the State Administration of Disease Control, and the State Food and Drug Administration are responsible according to the division of responsibilities)

 

　　(17) Improve the service experience of the masses
.
Deeply promote the "Internet + Medical and Health" and "Five Ones" service actions
.
Promote service models such as multidisciplinary diagnosis and treatment and day surgery, and optimize appointments for diagnosis and treatment
.
Promote medical institutions to optimize online and offline payment processes and improve settlement models
.
Promote the pilot reform of first diagnosis and treatment, settlement afterwards or one-stop payment
.
Clarify the specific methods for mutual recognition of inspection results of medical institutions
.
Strengthen the construction of treatment centers for major acute diseases such as chest pain, stroke, critically ill pregnant women, newborns and children, trauma
.
(The National Health Commission, the National Development and Reform Commission, the State Administration of Traditional Chinese Medicine, the Health Bureau of the Central Military Commission’s Logistics Support Department, etc.
shall be responsible according to the division of responsibilities)

 

　　(18) Strengthen the training and use of medical talents
.
Strengthen the training of talents in short supply such as general practitioners
.
Implement the policy of exempting medical college graduates from applying for rural doctor registration
.
The general college graduates recruited to the society who have passed the standardized training of resident doctors who are employed in medical and health institutions that year are treated as fresh graduates in terms of recruitment, dispatch, settlement, etc.
; the undergraduates who have passed the standardized training of resident doctors will be treated as fresh graduates.
Physicians are treated the same as postgraduates with professional degrees in clinical medicine, stomatology, and traditional Chinese medicine in terms of recruitment, title promotion, job hiring, salary and other aspects
.
Strengthen the employment placement and contract performance management of rural order-targeted medical students, and incorporate the default situation of targeted students into credit information management
.
Strengthen the construction of school doctors
.
(Ministry of Education, Ministry of Human Resources and Social Security, National Health Commission, State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

 

　　(19) Enhance the ability to guarantee the supply of medicines
.
Continue to advance the priority review and approval of drugs, and accelerate the launch of innovative drugs and drugs that are urgently needed for clinical use
.
Improve the mechanism of supply and price stabilization of shortage drugs
.
Strengthen the supply of medicines for children
.
Study and revise the national essential drug list management method, optimize the catalog selection and adjustment procedures, and start the catalog adjustment work in a timely manner
.
Strengthen the provision and use of essential medicines and the standardized management of medications, and promote the connection of medications within the medical complex
.
Formulate pharmaceutical management measures for medical institutions
.
(The Ministry of Industry and Information Technology, the National Health Commission, the State Food and Drug Administration, etc.
are responsible according to the division of responsibilities)

 

　　(20) Strict supervision and management
.
Improve the comprehensive supervision and inspection mechanism of the medical and health industry
.
Vigorously promote the "Internet + supervision" of the medical and health industry, accelerate the improvement of precise supervision mechanisms such as "double random, one open" supervision and spot checks, unannounced inspections, and strengthen the disclosure of supervision results and accountability
.
Deepen the reform of the medical insurance fund supervision system, and promote the construction of medical insurance intelligent monitoring demonstration sites
.
Formulate antitrust guidelines in the field of APIs
.
(National Health Commission, National Disease Control Administration, General Administration of Market Supervision, National Medical Insurance Administration, National Administration of Traditional Chinese Medicine, etc.
shall be responsible according to the division of responsibilities)

 

　　All localities and relevant departments must earnestly strengthen their organization and leadership, be brave to act, dare to touch interests, vigorously promote Sanming's medical reform experience, and continue to deepen the medical reform
.
The Secretariat of the State Council’s Medical Reform Leading Group must strengthen overall planning and follow-up monitoring, establish task accounts and report quarterly
.
It is necessary to strengthen publicity and guidance, promptly respond to social concerns, and build consensus on reforms
.